Dr Lester Burkow, DO is a medicare enrolled "Family Medicine" physician in Decatur, Michigan. His current practice location is
319 W Delaware St, Decatur, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 423-7028.
Dr Lester Burkow is licensed to practice in Michigan (license number 5101006642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639166747.
Physician's Profile
| Full Name | Dr Lester Burkow |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 319 W Delaware St, Decatur, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639166747
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 10/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 3678607975
- Enrollment ID: I20100820000924
Medical Identifiers
Medical identifiers for Dr Lester Burkow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639166747 | NPI | - | NPPES |
| 1639166747 | Medicaid | MI | |
| 3191668 | Medicaid | MI | |
| 1235131137 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5101006642 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lester Burkow allows following entities to bill medicare on his behalf.
| Entity Name | Bronson Lakeview Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235131137
PECOS PAC ID: 9032008495
Enrollment ID: O20051027001022 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lester Burkow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lester Burkow, DO
319 W Delaware St,
Decatur, MI 49045-1106
Ph: (269) 423-7028 | Dr Lester Burkow, DO
319 W Delaware St,
Decatur, MI 49045-1106
Ph: (269) 423-7028 |
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